Amy Elizabeth Vilas, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601005564 Issued in MI

Practice address

4071 24TH Ave
Fort Gratiot, MI 48059-3801

Phone

(810) 824-4222

Fax

(810) 824-4220

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: avilascoulter@landmarkhealth-direct.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1598090797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593801",
            "telephone_number": "810-824-4222",
            "fax_number": "810-824-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593801",
            "telephone_number": "810-824-4222",
            "fax_number": "810-824-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILAS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601005564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598090797",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Vanmaele, CPNP
• Rebecca L Vargo
• Elizabeth A Varty, LPC
• Dayna Vasbinder, MALPC
• Susan Ann Viaene
• Vinculum Care LLC
• Vinculum Care LLC
• Visiting Nurse Services of Michigan
• Katherine Mae Volpe
• Megan Elizabeth Voydanoff

• Medical Physician Assistant in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.